BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO
4700 Alliance Blvd., Plano, TX · Baylor Scott & White Health · · NPI 1649273434
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $357.05 | $595.08 | $41.41 – $293.29 | 21 |
| Dilate biliary duct/ampulla CPT 47542 | $1,866.73 | $3,111.21 | $373.35 – $2,644.53 | 20 |
| Dilate esophagus CPT 43453 | $1,641.50 | $2,735.83 | $564.97 – $4,713.77 | 24 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,484.17 | $2,473.61 | $334.95 – $3,693.00 | 24 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $4,322.56 | $7,204.26 | $599.31 – $6,123.62 | 18 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,670.90 | $2,784.83 | $299.65 – $4,063.00 | 18 |
| Dilate ic vasospasm init CPT 61640 | $9,260.60 | $15,434.33 | $853.30 – $13,119.18 | 18 |
| Dilate urethra stricture CPT 53600 | $514.79 | $857.98 | $34.88 – $643.49 | 26 |
| Dilate urethra stricture CPT 53605 | $3,745.07 | $6,241.78 | $1,142.90 – $8,636.11 | 26 |
| Dilation/female urethra/initial 53660 CPT 53660 | $204.60 | $341.00 | $39.59 – $386.96 | 26 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $429.26 – $3,693.00 | 17 |
| Dilation of cervical canal 57800 CPT 57800 | $4,715.67 | $7,859.45 | $39.86 – $7,744.80 | 26 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $429.26 – $3,693.00 | 17 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,386.89 | $2,311.48 | $92.46 – $1,733.61 | 26 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,277.43 | $2,129.05 | $14.92 – $99.46 | 19 |
| Dilat xst trc ndurlgc px CPT 50436 | $7,694.84 | $12,824.74 | $1,142.90 – $9,618.56 | 26 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $138.24 | $230.40 | $0.04 – $195.84 | 21 |
| Dimecaprol injection HCPCS J0470 | $457.03 | $761.72 | $91.41 – $647.46 | 21 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,258.20 | $2,097.00 | $251.64 – $1,610.31 | 26 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $10.84 | $18.06 | $0.76 – $5.98 | 21 |
| Disability dlco CPT 94727 | $356.06 | $593.43 | $71.21 – $466.36 | 26 |
| Disaccharidases CPT 82657 | $338.63 | $564.38 | $10.00 – $87.19 | 26 |
| Discography cerv/thor spine CPT 72285 | $2,050.91 | $3,418.19 | $132.31 – $4,783.04 | 26 |
| Dise eval slp do brth flx dx CPT 42975 | $244.89 | $408.15 | $68.14 – $4,204.56 | 24 |
| Dissolve clot heart vessel CPT 92975 | $2,604.47 | $4,340.79 | $520.89 – $3,689.67 | 20 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,954.22 – $14,507.25 | 16 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,380.35 | $2,300.59 | $276.07 – $7,038.00 | 18 |
| Dmpk gene detc abnor allele CPT 81234 | $7,487.95 | $12,479.92 | $35.00 – $1,453.12 | 26 |
| Dna antibody native/double stranded CPT 86225 | $141.17 | $235.29 | $10.00 – $32.98 | 26 |
| Dna gardnerella CPT 87510 | $61.20 | $102.00 | $10.00 – $76.50 | 26 |
| Dna probe chlamydia CPT 87490 | $114.48 | $190.80 | $10.00 – $143.10 | 26 |
| Dna probe gc CPT 87590 | $101.97 | $169.95 | $10.00 – $127.46 | 26 |
| Dna trichomonas CPT 87660 | $63.00 | $105.00 | $10.00 – $78.75 | 26 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $146.40 | $244.00 | $5.48 – $38.79 | 21 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,290.00 | $2,150.00 | $0.61 – $309.41 | 21 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $76.20 | $127.00 | $0.88 – $19.87 | 21 |
| Doppler echo complete CPT 93320 | $938.80 | $1,564.66 | $109.54 – $1,329.96 | 20 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,563.60 | $5,939.34 | $712.72 – $5,048.44 | 18 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $881.26 | $1,468.77 | $129.98 – $1,101.58 | 26 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $608.33 | $1,013.88 | $121.67 – $760.41 | 26 |
| Dornase alfa non-comp unit HCPCS J7639 | $350.67 | $584.45 | $50.93 – $496.78 | 21 |
| Dornhoffer fixed part w/window HCPCS L8614 | $50,985.00 | $84,975.00 | $65.90 – $439.30 | 19 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $20,843.62 | $34,739.36 | $226.76 – $26,054.52 | 26 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $740.18 | $1,233.64 | $3.00 – $292.65 | 21 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,278.13 | $3,796.88 | $68.27 – $1,556.25 | 26 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $97.79 | $162.98 | $0.10 – $138.53 | 21 |
| Dpyd gene common variants CPT 81232 | $851.19 | $1,418.65 | $35.00 – $515.62 | 26 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $866.92 | $1,444.87 | $131.78 – $1,742.94 | 26 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $3,325.73 | $5,542.89 | $147.56 – $4,157.17 | 26 |
| Drainage external ear complex 69005 CPT 69005 | $3,541.97 | $5,903.29 | $113.23 – $4,427.47 | 26 |
| Drainage external ear simple 69000 CPT 69000 | $984.69 | $1,641.15 | $107.14 – $1,742.94 | 26 |
| Drainage mouth roof lesion CPT 42000 | $641.66 | $1,069.44 | $87.58 – $802.08 | 26 |
| Drainage of arm bursa 23931 CPT 23931 | $3,155.93 | $5,259.88 | $486.45 – $4,016.35 | 26 |
| Drainage of eye CPT 65800 | $1,824.02 | $3,040.03 | $849.94 – $5,772.91 | 26 |
| Drainage of kidney lesion CPT 50390 | $1,719.93 | $2,866.55 | $257.60 – $2,149.91 | 26 |
| Drainage of mouth lesion CPT 41005 | $1,576.20 | $2,627.00 | $87.58 – $1,970.25 | 26 |
| Drainage of mouth lesion CPT 41007 | $3,021.62 | $5,036.04 | $420.64 – $3,777.93 | 26 |
| Drainage of mouth lesion CPT 41008 | $2,295.40 | $3,825.66 | $886.62 – $7,975.81 | 26 |
| Drainage of mouth lesion CPT 41009 | $583.82 | $973.04 | $187.22 – $1,363.00 | 26 |
| Drainage of mouth lesion CPT 41016 | $6,781.90 | $11,303.16 | $1,804.00 – $14,507.25 | 26 |
| Drainage of mouth lesion CPT 41017 | $2,412.60 | $4,021.00 | $886.62 – $7,975.81 | 26 |
| Drainage of mouth lesion CPT 41018 | $1,304.89 | $2,174.82 | $420.64 – $3,777.93 | 26 |
| Drainage of nose lesion int 30000 CPT 30000 | $901.48 | $1,502.46 | $87.58 – $1,126.85 | 26 |
| Drainage of nose lesion sept 30020 CPT 30020 | $781.44 | $1,302.40 | $180.23 – $1,363.00 | 26 |
| Drainage of pelvis lesion 26990 CPT 26990 | $2,668.63 | $4,447.71 | $1,088.27 – $8,018.48 | 24 |
| Drainage of prostate abscess CPT 55720 | $2,260.09 | $3,766.82 | $1,142.90 – $8,636.11 | 24 |
| Drainage of rectal abscess CPT 45005 | $2,299.90 | $3,833.16 | $429.26 – $2,923.34 | 26 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,167.36 | $3,612.26 | $433.47 – $5,045.72 | 26 |
| Drain bladder by trocar/cath CPT 51101 | $1,078.00 | $1,796.66 | $98.83 – $2,590.07 | 26 |
| Drain blood from under nail 11740 CPT 11740 | $190.33 | $317.21 | $38.07 – $316.45 | 26 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,693.50 | $4,489.17 | $486.45 – $4,016.35 | 26 |
| Drain cath image guided visceral pq CPT 49405 | $2,839.24 | $4,732.07 | $567.85 – $4,016.35 | 26 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,192.95 | $1,988.25 | $262.86 – $1,713.14 | 26 |
| Drain chest lesion CPT 21502 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Drain finger abscess;simple 26010 CPT 26010 | $522.25 | $870.42 | $74.34 – $652.82 | 26 |
| Drain lower leg lesion 27603 CPT 27603 | $4,588.15 | $7,646.92 | $815.20 – $7,039.11 | 26 |
| Drain neck/chest lesion 21501 CPT 21501 | $2,727.07 | $4,545.12 | $815.20 – $7,039.11 | 26 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,606.86 | $6,011.43 | $815.20 – $7,039.11 | 26 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $560.63 | $934.38 | $85.42 – $700.78 | 26 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $473.02 | $788.36 | $44.31 – $591.27 | 26 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $597.49 | $995.82 | $171.51 – $987.79 | 26 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $306.77 | $511.29 | $19.68 – $268.77 | 25 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,911.50 | $3,185.84 | $382.30 – $2,707.96 | 20 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,770.43 | $2,950.71 | $108.29 – $2,213.03 | 26 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,475.83 | $4,126.38 | $486.45 – $4,016.35 | 26 |
| Drng of hydrocele 55000 CPT 55000 | $732.01 | $1,220.02 | $54.26 – $1,742.94 | 26 |
| Drng of mouth lesion 40801 CPT 40801 | $1,746.68 | $2,911.14 | $187.22 – $2,183.36 | 26 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,614.45 | $2,690.75 | $429.26 – $3,693.00 | 24 |
| Drng of salivary cyst 42409 CPT 42409 | $2,635.12 | $4,391.86 | $886.62 – $7,975.81 | 26 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,997.89 | $3,329.81 | $486.45 – $4,016.35 | 26 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,600.76 | $2,667.94 | $320.15 – $7,038.00 | 18 |
| Drng salivary gland simple 42300 CPT 42300 | $3,113.71 | $5,189.52 | $420.64 – $3,892.14 | 26 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $34.85 | $58.08 | $3.48 – $24.68 | 21 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,275.80 | $3,793.00 | $23.73 – $158.23 | 19 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $321.43 | $535.72 | $7.54 – $268.77 | 25 |
| Drug admin & hemodynmic meas CPT 93463 | $1,667.83 | $2,779.72 | $312.00 – $16,180.00 | 19 |
| Drug assay caffeine CPT 80155 | $97.19 | $161.99 | $10.00 – $121.49 | 26 |
| Drug assay posaconazole CPT 80187 | $96.75 | $161.25 | $10.00 – $120.11 | 26 |
| Drug assay rufinamide CPT 80210 | $100.32 | $167.20 | $10.00 – $94.14 | 26 |
| Drug assay vedolizumab CPT 80280 | $365.25 | $608.75 | $10.00 – $92.57 | 26 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.